| NPI | 1316333446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 298763) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 274395) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 298763) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 274395) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-06-06 |